Tadalafil 5mg daily works!!

[Kesar]

Long story short, I'm 38 and suffer with ED due to a genetic condition (klinefelter syndrome). It would take me ages to get ready for sex, and when I did have sex, it would be boring as it was never spontaneous.
Ordered tadalafil 5mg daily from Dr fox, and wow it works amazingly. Before taking tadalafil, I would always be aroused, I would get an erection, but then as soon as I'd start, it would flop. My mind would just go blank. But now it's been 4 days, regardless of the time, when I get aroused, it will stand like steel. My sex life at home has now improved to daily sex, and I feel a lot happier now that that problem is slowly dying down. Only time will tell if it's going to continuously work. But for all those of you who suffer the same, order tadalafil 5mg from Dr fox, as it is a life changer

[GreyDave]

   Its great stuff I get and split them to 2.5mg or even done 1/3 and taken over week it builds up in my system and when topped up with a 25-50 mg of Sildenafil it works amazingy for punts.

Ive made mistake of mixing the higher does of tad and Sil and it was very uncomfortable belive me I swore id never mix them again but then read about the really low dose daily having best effect ... 

 I also find I pee better too   as a 64 year old punter who trys to do 2 a week I think its great I wish there was a pill for improving the load and reloading for me I am able to get up again easy but to pop out a 2nd load well its a bit like waiting for the second coming it aint happening

[daviemac]

But for all those of you who suffer the same, order tadalafil 5mg from Dr fox, as it is a life changer

I'll say what I always say on threads like this, and there's been enough of them, take no notice of what punters on an escort review site say, speak to a fully qualified medical professional for advice on ED.

[RandomGuy99]

  Its great stuff I get and split them to 2.5mg or even done 1/3 and taken over week it builds up in my system and when topped up with a 25-50 mg of Sildenafil it works amazingy for punts.

Ive made mistake of mixing the higher does of tad and Sil and it was very uncomfortable belive me I swore id never mix them again but then read about the really low dose daily having best effect ... 

 I also find I pee better too   as a 64 year old punter who trys to do 2 a week I think its great I wish there was a pill for improving the load and reloading for me I am able to get up again easy but to pop out a 2nd load well its a bit like waiting for the second coming it aint happening

You're not supposed to mix Sildenafil with other ED meds. You're playing with fire.

Mixing **Sildenafil (Viagra)** with other erectile dysfunction (ED) medications is **generally not recommended** and can be **dangerous**. Here's why:

### 1. **Risk of Severe Side Effects**

Combining ED meds (like Sildenafil, Tadalafil \[Cialis], Vardenafil \[Levitra], or Avanafil \[Stendra]) can:

* Increase the risk of **low blood pressure (hypotension)**, which can cause dizziness, fainting, heart attack, or stroke.
* Lead to **priapism**, a prolonged and painful erection that can damage penile tissue.
* Cause **overlapping side effects** like headaches, flushing, nasal congestion, and vision changes.

### 2. **No Added Benefit**

Taking more than one ED drug does **not** improve effectiveness in most cases. These medications work similarly by inhibiting the enzyme **PDE5**, and combining them doesn’t typically result in stronger or longer erections—it just raises risk.

### 3. **Exceptions?**

In **very rare, carefully supervised** medical situations, a urologist or specialist may consider combining treatments (e.g., PDE5 inhibitors with other non-pill therapies like injections or vacuum devices). But this should **never** be done without direct medical oversight.

---

### Bottom Line:

👉 **Do not mix Sildenafil with other ED meds unless specifically directed by your doctor.**
If Sildenafil alone isn’t working, talk to a healthcare provider—there may be other safe options or underlying health issues to address.

[newhere456]

I use 5mg daily - on prescription from my GP.  Cheap as chips.

[scutty brown]

I use 5mg daily - on prescription from my GP.  Cheap as chips.

And that just shows the insanity of the NHS lottery in the UK - your NHS trust will prescribe it, the OP's won't.
Are you being prescribed it for ED problems or prostate problems?

[daviemac]

And that just shows the insanity of the NHS lottery in the UK - your NHS trust will prescribe it, the OP's won't.
Are you being prescribed it for ED problems or prostate problems?

Where does the OP say he's asked his doctor and been refused?   

[PepeMAGA]

Long story short, I'm 38 and suffer with ED due to a genetic condition (klinefelter syndrome). It would take me ages to get ready for sex, and when I did have sex, it would be boring as it was never spontaneous.
Ordered tadalafil 5mg daily from Dr fox, and wow it works amazingly. Before taking tadalafil, I would always be aroused, I would get an erection, but then as soon as I'd start, it would flop. My mind would just go blank. But now it's been 4 days, regardless of the time, when I get aroused, it will stand like steel. My sex life at home has now improved to daily sex, and I feel a lot happier now that that problem is slowly dying down. Only time will tell if it's going to continuously work. But for all those of you who suffer the same, order tadalafil 5mg from Dr fox, as it is a life changer

A bit off topic, but do they monitor your hormone levels with Klinefelter? I would guess the erection problems are due to low testosterone.

[Waterhouse]

A bit off topic, but do they monitor your hormone levels with Klinefelter? I would guess the erection problems are due to low testosterone.

Not necessarily true.  There are 100’s (if not more) of potential causes of ED, and testosterone levels are only the tip of the ice-berg and often not the main underlying factor. For example, you can have a low overall T count, but so long as the free T levels, FAI (free androgen index) and SHBG levels are good, then low overall total T levels are unlikely to be the main cause.

The best best way forward starts with your GP and bloodtests, then referrals beyond that. But always with qualifed and experienced, practicing medical professionals.

[Kesar]

Where does the OP say he's asked his doctor and been refused?   

In a previous post I made. Doctor said he would prescribe me sildenafil but not tadalafil as sildenafil is cheaper

[scutty brown]

Where does the OP say he's asked his doctor and been refused?   

In a previous thread
This is the third thread he's started about this subject, where he's variously asked for advice and reported that his GP said using it was a good idea, but his NHS trust wouldn't pay for it

[daviemac]

In a previous post I made. Doctor said he would prescribe me sildenafil but not tadalafil as sildenafil is cheaper

In a previous thread
This is the third thread he's started about this subject, where he's variously asked for advice and reported that his GP said using it was a good idea, but his NHS trust wouldn't pay for it

Didn't realise this was the third thread he'd started asking the same question.

Wonder if he's going to keep starting threads until he gets an answer he likes?   

[scutty brown]

Didn't realise this was the third thread he'd started asking the same question.

Wonder if he's going to keep starting threads until he gets an answer he likes?   

He's got the answer he needs in that he now knows it works, though he's having to pay for it.
Now it's up to him to try and get his GP to convince his NHS trust to pay for it

Basically the three threads report how getting funding really is a regional lottery

[scutty brown]

the other threads

starts at #25 and continues to the end in this thread   https://www.ukpunting.com/index.php?topic=422980.msg4265407#msg4265407

then https://www.ukpunting.com/index.php?topic=430240.0

would be useful to merge all three but could be awkward to do given that you'd have to split the first thread

[daviemac]

the other threads

starts at #25 and continues to the end in this thread   https://www.ukpunting.com/index.php?topic=422980.msg4265407#msg4265407

then https://www.ukpunting.com/index.php?topic=430240.0

would be useful to merge all three but could be awkward to do given that you'd have to split the first thread

Trouble is with doing that the posts go in date and time order so if people have posted and not quoted who they are replying to on one of the threads it makes no sense when it appears below one making a completely different point.

[Thephoenix]

And that just shows the insanity of the NHS lottery in the UK - your NHS trust will prescribe it, the OP's won't.
Are you being prescribed it for ED problems or prostate problems?

Neither will mine and I've got both.

Two separate GPS even appeared/pretended to know nothing about it.

One referred me back to urologist who referred me back to GP. 

The other one referred me to ED clinic. The clinician was ok to prescribe 10 mg Tadalafil (4 per month), but when I asked about daily Tadalafil she diverted my attention to the latest super NHS penis pumps.
I'm awaiting an appointment with someone called Malcolm. I hope he's gentle with me.

The cost factor is definitely an issue.

A month's supply of Tadalafil daily costs about £55 (30 tabs). A month's supply of sildenefil costs about £15.(4 tabs).

[GCAS9]

The cost factor is definitely an issue.

A month's supply of tadalafil daily costs about £55 (30 tabs). A month's supply of sildenafil costs about £15.(4 tabs).

Are these prices purely for the price of the medication to the NHS?  If so they're either inaccurate or very out of date: supply of each via GP prescription is a tenth of what you've quoted; neither of them are expensive compared to the average cost of medication on the NHS, but the month of 30 Tadalafil 5mg daily is about five times the price of one month of 4 Sildenafil/Tadalafil, assuming sex just once a week.  But if the patient is regularly having sex at least 4 times a week, then 16 Sildenafil/Tadalafil Tablets would be just as pricey as the 30 daily Tadalafil 5mg, just how do you get across to your GP that you're one randy guy!

I presume each of the NHS regions and districts will be making their calculations of budget allocations for the number of men presenting with ED in their area, then deciding which medicine gives the best bang for their limited buck (yes pun intended).  Perhaps the NHS bean counters are cynically deciding most guys would be lucky to consistently shag more than twice a week, hence 4 or 8 Sildenafil/Tadalafil a month when needed is far more cost effective than the daily Tadalafil.

[Doc Holliday]

As I have posted before the whole history of this is inevitably somewhat complex, not least changes in the bodies responsible locally for making commissioning decisions and subsequent guidelines to GP's etc. In my day it was Primary Care Trusts (PCT) subsequently replaced by Clinical Commissioning groups (CCG) and now Integrated Care Boards (ICB)

ICB's will produce guidance locally as to what is and isn't available. There is often a distinction between prescribing in Primary Care by a GP and in secondary care such as in the case of ED by a Urologist.

Board decisions are based on national guidance including NHS England and NICE and so most Boards will tally in their decision making.

As a result Tadalafil daily was not available on NHS prescription, however I have checked again the current situation and the guidance 'from above' appears to have changed in August 2023 when it was removed from the list of items which should not be prescribed.

External Link/Members Only

External Link/Members Only

However there is no evidence that Tadalfil daily works any better than Tadalfil on demand. The prescribing guidance remains that Sildenafil should be first choice as it is still cheaper, followed by Tadalafil on demand and that daily Tadalafil should only be prescribed to those who are regularly having sex between 2-4 times a week.

How that latter decision is reached between patient and prescriber is likely to be hugely variable.

So despite the overall guidance change it seems that there remain local variations. I do not know if some ICB's are still restricting it (unlikley) or if the clinicians are simply not aware. Probably the latter?

EDIT just to add that your GP can of course prescribe on private prescription based entirely on clinical grounds and not any financial restrictions.

[Doc Holliday]

I have just looked for and found the current guidance for my locality. It seems daily tadalafil was only included in primary care prescribing in December 2024, so perhaps this is taking time to filter down?

Of interest I note it states 2.5 mg tablets are still restricted and should only be prescribed where 5 mg has resulted in tolerance issues.

External Link/Members Only

Also, unless I am reading it wrong it also appears to be recommending daily tadalafil rather than on demand? If so I give up 

[pantywetter]

It is really good.  I admit I abused it a bit as I don’t strictly need it yet, but I think i only bite off 2mg from a 10mg pill every few days and it constantly gives me good hardons, quick recovery etc even 3 days after taking some.  I think I’ve given myself a bit of a dependency on it now but it was worth the swap if it keeps working for another 10 years or so.

[TomTank]

As a sidenote, my understanding is that it can be dangerous to take viagra at the same time as sniffing poppers, and I would imagine the same applies to all these ED drugs.
The issue is that poppers pushes blood to the brain, and ED drugs push it to the lower regions.
If you take both you are putting to much stress on the heart, with too much blood moving away from it.

I'm no doctor but my takeaway is never to mix ED drugs with poppers ...

[Thephoenix]

Are these prices purely for the price of the medication to the NHS?  If so they're either inaccurate or very out of date: supply of each via GP prescription is a tenth of what you've quoted; neither of them are expensive compared to the average cost of medication on the NHS, but the month of 30 Tadalafil 5mg daily is about five times the price of one month of 4 Sildenafil/Tadalafil, assuming sex just once a week.  But if the patient is regularly having sex at least 4 times a week, then 16 Sildenafil/Tadalafil Tablets would be just as pricey as the 30 daily Tadalafil 5mg, just how do you get across to your GP that you're one randy guy!

I presume each of the NHS regions and districts will be making their calculations of budget allocations for the number of men presenting with ED in their area, then deciding which medicine gives the best bang for their limited buck (yes pun intended).  Perhaps the NHS bean counters are cynically deciding most guys would be lucky to consistently shag more than twice a week, hence 4 or 8 Sildenafil/Tadalafil a month when needed is far more cost effective than the daily Tadalafil.

Yes I should have said that the prices quoted were an estimate of what the meds cost when buying them privately online from an online doctor.
I don't know the cost to the NHS. No doubt a fraction of the prices quoted by me.
However the comparison of costs for a month's supply of on demand sildenefil versus Tadalafil daily is still pertinent, bearing in mind that NHS guidance is to prescribe only 4 sildenefil tablets compared to 30 Tadalafil.
I'd also guess that the unit cost of sildenefil tablets are cheaper anyway.

The actual control of how many of these various medications are prescribed privately is non existent.
There's nothing stopping me ordering a variety of them privately online, on the same day, via the growing number of online 'doctors'

Quoting my own experience may be rather misleading as despite the kindly reassurance of my lovely ED nurse, I'm probably a lost cause.
However the penis pump sounds like fun. although I don't know how that would work at my local Thai fbsm shop.

[newhere456]

And that just shows the insanity of the NHS lottery in the UK - your NHS trust will prescribe it, the OP's won't.
Are you being prescribed it for ED problems or prostate problems?

I was prescribed originally via BUPA (urologist for ED problems),  the private prescription was cheaper - Tesco's are best for this.  However the GP decided they didn't want to issue private prescriptions any more and so it became an NHS prescription.   I just get a 3 month pre-payment cert,  stock up as many as I can and that keeps me going for a bit.

[JustaPunter]

And that just shows the insanity of the NHS lottery in the UK - your NHS trust will prescribe it, the OP's won't.
Are you being prescribed it for ED problems or prostate problems?

NHS?

Why bother just order via any number of online pharmacy’s after a quick online consult with their Doctor

[scutty brown]

NHS?

Why bother just order via any number of online pharmacy’s after a quick online consult with their Doctor

A years supply from Dr Fox is going to cost him £196. That's why.
He's got a genuine medical problem which needs daily treatment. If he were in some parts of the UK the NHS would provide the drug; where he lives it won't. Lottery treatment

[airrift2010]

I had my prostate removed, I was put on viagra post op but didn’t get on with it so was switched to Tadadafil 5mg daily, never had any issues with my GP so I guess I’ve been lucky. On days when I’m going to have sex I take 3 or 4 pills and then have a couple of days without a pill, it’s working well for me.

[airrift2010]

@Thephoenix I was proscribed a penis pump immediately after my operation, I found it uncomfortable to use and the first tube I was given was too tight but after some perseverance it did the job. I took it along to a few punts and explained to the SP I’d had an op and needed the assistance, there was never any problem, if anything the SP would go the extra mile to ensure I had was comfortable and had a good time.

[Thephoenix]

I had my prostate removed, I was put on viagra post op but didn’t get on with it so was switched to Tadadafil 5mg daily, never had any issues with my GP so I guess I’ve been lucky. On days when I’m going to have sex I take 3 or 4 pills and then have a couple of days without a pill, it’s working well for me.

Thanks for your post.
I assume then that 'daily' 5mg isn't sufficient .
If that's the case, why are you taking it daily, rather than just 20mg as required?

[Thephoenix]

@Thephoenix I was proscribed a penis pump immediately after my operation, I found it uncomfortable to use and the first tube I was given was too tight but after some perseverance it did the job. I took it along to a few punts and explained to the SP I’d had an op and needed the assistance, there was never any problem, if anything the SP would go the extra mile to ensure I had was comfortable and had a good time.

Thanks for your post.
Good to see your recovering.
That gives me some reassurance, and I could possibly see that working with fbsm providers who understood English.
However these days I tend to frequent Asian parlours and it takes ages to even explain what a cock ring is.

[Doc Holliday]

Thanks for your post.
I assume then that 'daily' 5mg isn't sufficient .
If that's the case, why are you taking it daily, rather than just 20mg as required?

Indeed. This highlights the strange phenomenon of how, with ED meds, people feel comfortable ignoring the dosage advice on the prescription.

Now fortunately they are generally safe and dosage abuse is unlikely, for most, to have any dangerous consequences, but few would do the same with most other prescribed medications.

It also demonstrates the rationale behind the NHS avoiding wastage, as it would appear from the information available he should have been prescribed it on demand and not daily?

[PepeMAGA]

Not necessarily true.  There are 100’s (if not more) of potential causes of ED, and testosterone levels are only the tip of the ice-berg and often not the main underlying factor. For example, you can have a low overall T count, but so long as the free T levels, FAI (free androgen index) and SHBG levels are good, then low overall total T levels are unlikely to be the main cause.

The best best way forward starts with your GP and bloodtests, then referrals beyond that. But always with qualifed and experienced, practicing medical professionals.

I was specifically referring to having ED problems with Klinefelter.

[gurds]

i take daily tadalafil 5mg as well. You have to be careful though, sometimes in supermarkets can pop boners a lot or in public at the sight of hot girl.

Can be very embarrassing if you are wearing loose boxers and is visible big bulge.

[airrift2010]

Why are you taking it daily, rather than just 20mg as required?

After prostate removal, my consultant said that using a rehab strategy including 5mg tadalafil daily would prevent loss of penis length, preserve the cavernosal smooth muscle and increase erectile function.

[Doc Holliday]

After prostate removal, my consultant said that using a rehab strategy including 5mg tadalafil daily would prevent loss of penis length, preserve the cavernosal smooth muscle and increase erectile function.

Many thanks for the further update explaining why you were prescribed it daily and not on demand.  There are some studies that show possible benefits (that you describe) of Tadalafil daily post prostate removal, but the treatment should be started around a month after surgery and continued for at least six months and up to 12 months.

However, in your previous post you said that you were originally prescribed 'viagra' and then you were switched to Tadalafil because you "didn't get on with it"?

I had my prostate removed, I was put on viagra post op but didn’t get on with it so was switched to Tadadafil 5mg daily, never had any issues with my GP so I guess I’ve been lucky. On days when I’m going to have sex I take 3 or 4 pills and then have a couple of days without a pill, it’s working well for me.

May I ask did your consultant or GP also tell you to increase the dosage before sex and then stop for a few days?

[Handel2020]

Are these prices purely for the price of the medication to the NHS?  If so they're either inaccurate or very out of date: supply of each via GP prescription is a tenth of what you've quoted; neither of them are expensive compared to the average cost of medication on the NHS, but the month of 30 Tadalafil 5mg daily is about five times the price of one month of 4 Sildenafil/Tadalafil, assuming sex just once a week.  But if the patient is regularly having sex at least 4 times a week, then 16 Sildenafil/Tadalafil Tablets would be just as pricey as the 30 daily Tadalafil 5mg, just how do you get across to your GP that you're one randy guy!

I presume each of the NHS regions and districts will be making their calculations of budget allocations for the number of men presenting with ED in their area, then deciding which medicine gives the best bang for their limited buck (yes pun intended)...

The lowest dose I could get in my area from the GP was 10mg as she said anything less was too expensive. She did talk about splitting them but I wanted 2.5mg so bought them online. I don't actually need them unless I want to go for round two in which case I look forward to seeing what difference they will make.

[Kingfisher69]

Not necessarily true.  There are 100’s (if not more) of potential causes of ED, and testosterone levels are only the tip of the ice-berg and often not the main underlying factor. For example, you can have a low overall T count, but so long as the free T levels, FAI (free androgen index) and SHBG levels are good, then low overall total T levels are unlikely to be the main cause.

The best best way forward starts with your GP and bloodtests, then referrals beyond that. But always with qualified and experienced, practicing medical professionals.

I was specifically referring to having ED problems with Klinefelter.

I'm in my mid 50s and I was diagnosed with Klinefelters Syndrome in my early 30s at the fertility clinic in a Birmingham Hospital. We couldn't start a family and eventually we found out the issue was with me, I was firing blanks. My testosterone levels are extremely low, but I've never had a problem getting an erection. Likewise if anything I've always had a very high sexdrive. Once I turned 50 I started taking Sildenafil after a friend told me about the benefits, OMG it was like being a teenager again, I could stay harder for longer and repeat.

I agree whole heartedly with Waterhouse, get yourself checked out by a doctor before self dosing.

PepeMAGA just because a guy has KS doesn't mean he'll always have ED issues. Like with any guy it all goes by age, health and hormone levels. The biggest problem I've had with getting an erection is not always having a woman to put it in, but you don't need to have KS to have that problem. 

And Kesar get yourself referred to a specialist for KS treatment. I've found over the years that most GPs only know what they can google about KS, they've not got a clue. I'm under the care of an endocrinologist who's knowledge of KS is incredible. Seriously get yourself referred because if its left untreated KS can cause things like osteoporosis in later life.

[Kesar]

I have an appointment with head endocrinologist soon. I'll ash her then.

[scutty brown]

I have an appointment with head endocrinologist soon. I'll ash her then.

Endocrinology has little to do with your head......that's more of a brain surgeon's domain   

[Kesar]

Endocrinology has little to do with your head......that's more of a brain surgeon's domain   

I sense a joke.... But I don't get it 😅

[scutty brown]

I sense a joke.... But I don't get it 😅

head endocrinologist   ???

[divinemadman]

Personally it messes with my ears and causes tinnitus when using once daily even at 2.5mg. Only use 20mg pre punt minimum 30 minutes prior. And when I've pre booked a punt 1 hour before I take 6g L-citrulline and use a penis pump for 10 minutes and cock ring while having sex. Daily routine includes no porn and masturbation and plenty of cardio everyday to keep good blood flow. All things synergistically give me a great hard erection.

[mgkerx]

Personally it messes with my ears and causes tinnitus when using once daily even at 2.5mg. Only use 20mg pre punt minimum 30 minutes prior. And when I've pre booked a punt 1 hour before I take 6g L-citrulline and use a penis pump for 10 minutes and cock ring while having sex. Daily routine includes no porn and masturbation and plenty of cardio everyday to keep good blood flow. All things synergistically give me a great hard erection.

Was taking 5mg daily, but also had a daily headache and felt rotten, so will try taking these every 2 days if that doesn't help, then back to Viagra as and when needed

[airrift2010]

Apologies to all, I missed some questions in reply to what I previously posted;

I’m 3 years past my operation now and still taking a 5mg tadalafil tablet daily. My consultant said that at my age it’s best to keep the blood flowing in the groin area and to exercise (masturbate) regularly. He said it won’t do me any harm, in fact there could actually be some benefits for heart health.

My consultant also told me to increase the dosage before sex - 20mg being recommended.

I was originally proscribed viagra by my consultant following my surgery but it didn’t seem to be having much effect, so after a month he changed me to tadalafil and the effect was instantly noticeable. Everyone will be different though.

To update my story, and with regard to penetrative sex, I had been finding that increasing the tadalafil dose from 5mg to 20mg on the day was working but with varying results. Sometimes I get a great erection but other times it’s a disappointing failure. So I called my consultant and he suggested giving vardenafil a try before sex.I purchased some tablets out of my own pocket as I didn't want to ask my GP to try me on something else, putting myself on his radar and risk having my tadalafil prescription cancelled. So the last two times I’ve had sex I’ve taken a 20mg vardenafil tablet an hour before and  the result has been sensational, rock hard erections and I can cum (no semen ), stay hard inside the lady and keep going for another ‘shot’. So my routine now is the 5mg tadalafil daily and 20mg vardenafil on sex days, taking the tablet an hour before the sex.

Condoms are the other issue I’ve had to struggle with. Before the operation they were never a problem for me but now I suffer variable results and more often than not I wilt when I put one on. I know it’s psychological but I can’t get over the hump, so my last two punts  have been uncovered and the sex has been fantastic (reviews to follow). It’s not something I’d choose to do if everything was working fine but I’m at a stage of life where I’m in my 60’s and would have been dead a year ago if I hadn’t been lucky with my diagnosis, so I want to live for the moment, within reason.